Individual provider Active NPI

Eugenie Bang, LCSW

  • Clinical Social Worker
  • Saint Louis, MO
National Provider Identifier
1528850047
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2025039245 Issued in MO
Practice address
1015 S Compton Ave
Saint Louis, MO 63104-1209
Phone
(314) 200-5073
NPI assigned
May 20, 2025
Last updated
Sep 16, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 2025039245 MO Primary

Addresses

Primary practice location

1015 S Compton Ave
Saint Louis, MO 63104-1209

Mailing address

1015 S Compton Ave
Saint Louis, MO 63104-1209
Phone (314) 200-5073

Other practice location 1

7310 Manchester Rd
Saint Louis, MO 63143-3108
Phone (314) 200-5073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2025039245MOMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Nori Therapy, LLC Clinical CurrentSince Sep 1, 2025 Accepting new patients

Locations

1015 S Compton Ave
Saint Louis, MO 63104
Phone (314) 398-2466

7310 Manchester Rd
Saint Louis, MO 63143
Phone (314) 200-5073

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1528850047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S COMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041209",
            "telephone_number": "314-200-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 S COMPTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041209",
            "telephone_number": "314-200-5073"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7310 Manchester Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631433108",
            "country_code": "US",
            "telephone_number": "314-200-5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANG",
        "first_name": "EUGENIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MO",
            "license": "2025039245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.